DOCNURSEMHC, LLC (NPI# 1346712999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346712999 |
| Entity Type | Organization |
| Organization Name | DOCNURSEMHC, LLC |
| Practice Address |
165 E Hawthorne Ave Colville WA 99114-2629 |
| Mailing Address |
6718 Ridgecrest Cir Mc Calla AL 35111-3960 |
| Practice Telephone | 2054753908 |
| Mailing Telephone | 2054753908 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Authorized Official Name | AUDRY GORMAN (CRNP) |
| Authorized Official Telephone | 2054753908 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
165 E HAWTHORNE AVE |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792966 | Stevens County | Clinic/Center | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2005-07-05 |
| 1831798164 | Mariah R Demich | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1376142604 | Kortney B Vining | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-19 |
| 1093313140 | Shiloh L Reynolds | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1447858501 | Cheyenne J Jones | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1174121230 | Daniel W James | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1629676788 | Jason M Dempsey | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-10-12 |
| 1356953228 | Taylor L Lewis | Counselor | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-08-20 |
| 1598381832 | Kelli S O'connor | Registered Nurse | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-06-23 |
| 1306472550 | Jodi L Sheets | Nurse's Aide | 165 E Hawthorne Ave, Colville, WA 99114-2629 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060085 | Vanessa Honn, Phd, Ps | Clinic/Center | 3819 N Madison St, Tacoma, WA 98407-5725 | 2020-10-16 |
| 1467067439 | New Advanced Healthcare Consulting Pllc | Clinic/Center | 300 Lenora St # 984, Seattle, WA 98121-2411 | 2020-09-15 |
| 1194336453 | Affiliated Mental Health Programs, Inc. | Clinic/Center | 6511 51st Ave S, Seattle, WA 98118-3319 | 2020-08-11 |
| 1801406624 | Skylark Behavioral Health, Pllc | Clinic/Center | 300 Lenora St # 957, Seattle, WA 98121-2411 | 2020-08-06 |
| 1629686498 | Wendy Becker Psychotherapy | Clinic/Center | 12685 Sapphire Lane South East, Olalla, WA 98359 | 2020-07-17 |
| 1154969384 | Freedom Services, Pllc | Clinic/Center | 17775 Se Mill Plain Blvd Apt 252, Vancouver, WA 98683-7559 | 2019-12-18 |
| 1265077846 | Buena Vida Counseling Pllc | Clinic/Center | 221 W Railroad Ave Ste 2, Shelton, WA 98584-3507 | 2019-11-07 |
| 1720620644 | Ballard Avenue Psychiatry Pllc | Clinic/Center | 5306 Ballard Ave Nw Ste 317, Seattle, WA 98107-4366 | 2019-10-11 |
| 1225687544 | Lillie Mccatty, Lmhc | Clinic/Center | 203 4th Ave E Ste 307, Olympia, WA 98501-1188 | 2019-09-09 |
| 1306401278 | Christeen Deneui | Clinic/Center | 9518 49th Ave W Apt 15e, Mukilteo, WA 98275-3763 | 2019-05-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.